Sydney Elise Colburn, M.S

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

262859 Issued in KY

Practice address

Easterseals Cardinal Hill
993 Manson Headley Road
Lexington, KY 40504-2246

Phone

(859) 367-7217

Fax

(859) 367-7155

NPI assigned

Nov 25, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1043856024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 VERSAILLES RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "859-367-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EASTERSEALS CARDINAL HILL",
            "address_2": "993 MANSON HEADLEY ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042246",
            "telephone_number": "859-367-7217",
            "fax_number": "859-367-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "SYDNEY",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "248547",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "262859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nettie Lytricia Cohen
• Samuel Joseph Cohen, CN
• Caleb Coil
• Evelyn B Coile, MD
• Karen Colbert
• Colby Cohen-Archer, PH.D., PLLC
• George Watts Colclough, MD
• Elizabeth M Colcough, LPT
• Sarah Coldiron
• Coldstream Pharmacy, LLC

• Speech-Language Pathologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.